Ministry of Education PARENT/GUARDIAN PERMISSION FORM
Provincial Schools Branch FOR SPECIFIC SCHOOL FIELD TRIP
ONTARIO
Parent/Guardian to complete the bottom portion and return to the school.
School: Ernest C. Drury School for the Deaf School Address: 255 Ontario Street South
Principal: Anthony McLetchie School Phone: 905 878 2851 Ext:
Teacher/Class/Course: J. Miller – Sr. Boys Basketball Team
Destination: Northern Secondary High School, 851 Mount Pleasant Rd, Toronto, ONT
Learning Expectations for the Trip:
To provide an opportunity to explore postsecondary options in Fine and Visual Arts and to provide career counselling
to graduating students in Grade 12 and Grade 11 students for their future post secondary goals.
Tuesday, February 1,
Departure: Date: 2010 Time: 7:15 a.m.
Tuesday, February 1,
Return: Date: 2010 Time: 5:00 p.m.
Type of Transportation: School bus
Accommodation (where applicable): N/A
$40
(tournament
Cost: fee, uniform) For Travel Agency tours, Name of Agency: N/A
This is identified as a High Risk Field Trip Yes No
Special Information (e.g., clothing, materials, lunch): basketball shoes, black shorts, track pants and sweater
(warm-ups), own water or Gatorade; snacks and food (pizza is provided)
Teacher in charge: J. Miller (jeff.s.miller@ontario.ca)
For extended trips, a detailed itinerary is attached.
Note re: Medication: If it will be necessary for your child to take prescription medication during the trip appropriate arrangements
must be made through Student Health Services. If your child currently receives medication during the school day and these
arrangements are in place then it is not necessary to complete another form.
Note re: Elements of Risk: The risk of injury exists in every field trip activity. However, due to the very nature of some activities,
the risk of injury may increase. Injuries may range from minor sprains and strains to more serious injuries. The safety and well
being of students is a prime concern and attempts are made to manage as effectively as possible, the foreseeable risks inherent in
field trip activity.
Dear Parent/Guardian:
The field trip outlined above has been planned as an extension of the educational experiences provided at school
and/or residence. Please sign your permission in the space below and return it to the school immediately.
Thank you.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
has my permission to participate in this field trip.
(Student’s Name)
Date Signature of Parent/Guardian
I am available to assist as a volunteer supervisor for this trip and will complete a volunteer application form.
YES NO Rev02.10.2003